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General NPI Number Information
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NPI Number | 1467332288
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Entity Type | Organization
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Legal Business Name | AMANDA SORRENTINO LMT PLLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 7411 W CLEARWATER AVE UPPER UNIT B
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City | KENNEWICK
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State | WA
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Zip | 99336-1683
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Country | US
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Telephone | 360-504-8904
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Fax | 509-581-6123
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Provider Business Mailing Address
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Address Line | 7411 W CLEARWATER AVE UPPER UNIT B
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City | KENNEWICK
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State | WA
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Zip | 99336-1683
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Country | US
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Telephone | 360-504-8904
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Fax | 509-581-6123
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Authorized Official
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Title or Position | OWNER/LMT
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Name | AMANDA SORRENTINO
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Credential | LMT
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Telephone | 360-504-8904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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